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HomeMy WebLinkAboutBuilding Permit # 5/2/2017 5/10/2017 *Building Permit#24412-View Point Cloud *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 18,2017 at 10:26pm 10 Building Department Review IP 0 Completed Apr 26,2017 at 9:05am © Conservation Department Review Ono Skipped Apr 26,2017 at 1:17pm © Planning Department Review * !!% Skipped Apr 26,2017 at 9:29am OHealth Department Revies Completed Apr 26,2017 at 9:08am ODPW Engineering Review Completed Apr 28,2017 at 9:37am ODPW Operations Review Completed Apr 26,2017 at 10:26am J1%% Fire Department Review Completed Apr 28,2017 at 7:16am � OTreasurer Review Completed Apr 26,2017 at 4:14pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24412 1/5 5/10/2017 *Building Permit#24412-View Point Cloud Building Inspector Approval O Completed May 2,2017 at 8:18pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid May 2,2017 at 10:23pm OPermit Issued Issued May 2,2017 at 10:23pm *Building Permit#24412 Construction of Additions,Alterations,and Remodeling . x 0 i�.. Applicant Location Mike Coughlin 448 BOXFORD STREET , NORTH ANDOVER, MA t. 781-507-0135 Owner @ mikeCOsdb-inc.net(mai... HALE, RYAN, D. Attachments pdf Hale le Contact Uploaded by Mike Coughlin on Apr 18,201710:25 PM , pdf `u"C"C., Uploaded by Mike Coughlin on Apr 18,2017 10:25 PM , pdf hconso Uploaded by Mike Coughlin on Apr 18,2017 10:26 PM , pdf SKMBT C2801"7042014050 Uploaded by Mike Coughlin on Apr 20,2017 9:01 PM , https://northandoverma.viewpointcloud.com/#/records/24412 2/5 5/10/2017 *Building Permit#24412-View Point Cloud Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application as the Homeowner? NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(Business)Name Licensee* License#* License Expiration Date* License Type* License Type* License Active License Status SUMMIT DESIGN BUILD INC. 083853 05/20/2018 Home Improvement Contractor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email 29 EAMES ST, NORTH READING MA 01864 617-763-6813 7811-507-0135 mikeC-dsdb-inc.net I certify,under the pains and penalties of perjury,that the information on this application is true and complete. G Project Information Persons contracting with unregistered contractors do not have access to the guaranty fund. Fee Schedule: Building Permit: Project Cost(if new construction base on $125 per square foot and if addition/alteration/renovation base on actual contract price). ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector. Type of Improvement* Proposed Use Alteration One-Two Family Description of Work to be Performed* Gut and remodel existing kitchen. Install new tile floor, insulation, plaster,cabinets,and appliances.All appliances to remain in current locations.We will also install a new tile floor in the bathroom and hallway. hftps://northandoverma.viewpointcloud.com/#/records/24412 3/5 5/10/2017 *Building Permit#24412-View Point Cloud Is property on Town water* Is property on Town sewer Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 28,000 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? NO Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$100-$1,000 fine) NO Registered Design Professional Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# N/A Insurance INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Yes If yes,indicate the type of coverage* If other,specify Liability hftps://northandoverma.viewpointcloud.com/#/records/24412 4/5 5/10/2017 *Building Permit#24412-View Point Cloud Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers To be filed with the permitting authority Are you an employer?Select the appropriate type.Any applicant that selects#1 must also fill out the section below showing their workers'compensation policy information. 1. 1 am an employer with employees(full and/or part-time) Type of project* 8. Remodeling I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Failure to secure coverage as required under MG>c.152,25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Associated Employers Insurance Company Policy#or Self-Ins.License#* Expiration Date WCC5010993012016 05/12/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. G GI To Be Completed By Town Staff la Zoning District* la Is this a 100 Year or older structure* la Is property within an Overlay District* Is the property within the Floodplain* Is the project within 100'of Wetlands? R1 No No No Not Applicable hftps://northandoverma.viewpointcloud.com/#/records/24412 5/5